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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546

Abstract

PEREIRA JUNIOR, Gerson Alves; LASCALA, Thiago Florentino  and  ANDRADE, José Ivan de. Barium peritonitis. Rev. Col. Bras. Cir. [online]. 1999, vol.26, n.5, pp.313-315. ISSN 1809-4546.  https://doi.org/10.1590/S0100-69911999000500011.

We report a case of a 49 years-old man who underwent a barium meal examination for an epigastric pain. A perforated gastric ulcer with barium extravasation into peritoneal cavity was seen on X-rays. During an emergency laparotomy, a perforated pyloric ulcer was noted, along with barium contamination in the peritoneal cavity. The ulcer was closed with an omental patch and an extensive peritoneal lavage with saline was performed. During the postoperative period, the patient developed signs of peritonitis and underwent a new laparotomy was at the 9th day showing a subfrenic abscess with a large barium contamination. The patient presented septic shock and multiple organ failure. dying on the 21th day.

Keywords : Barium; Peritonitis; Peptic ulcer.

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